Maddison Capri Meijome, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61519644 Issued in WA

Practice address

1824 Canoe RDG NW
Kennesaw, GA 30152-6209

Phone

(509) 948-7023

NPI assigned

Aug 7, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Maddison Capri Haueter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1649953704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 CANOE RDG NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301526209",
            "telephone_number": "509-948-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 CANOE RDG NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301526209",
            "telephone_number": "509-948-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIJOME",
        "first_name": "MADDISON",
        "middle_name": "CAPRI",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "14262362-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61519644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADDISON",
            "last_name": "HAUETER",
            "middle_name": "CAPRI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Medici Medical Arts
• Medisource Home Medical
• Tracy Medlin, OTR/L
• Diana Roya Mehrjooya
• Karma D Mehta, PA-C
• Hawii Mekonnen, OTR/L
• Mele Counseling, Inc.
• Jeanine M Mele, LCSW
• Ginette Alexa Mellman, LMSW
• Gunnar Mendiola

• Clinical Social Worker in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.